Lumbopelvic Complex Exam part 1 Flashcards
(72 cards)
Lumbopelvic exam effectively assesses _______________________ of the lower quadrant
mobility, strength, and neurological status
Lumbopelvic exam helps differentially diagnose pathology arising from the _______________________
lumbar spine, SI joint, and hip
Lumbopelvic exam assists in clearing the Lumbar spine, SI joints, and hips in the presence of ___________________
more distal LE pathology
Lumbopelvic exam provides a structured, evidence-based template for examination of the _________________ which can be modified for a variety of patient scenarios
Lower quadrant
What do we want to document when observing our pt?
Quality of gait (use of AD, compensatory patterns, and antalgic gait), Postural preferences, and Look for redness, increased temp, rashes, skin irritation, bony/muscular abnormalities, skin creases, and hairy patches
When organizing our exam, we want to minimize ________________ of the pt and why?
transitional movements/postures; pts with LBP often have difficulty getting into multiple positions
When assessing location of the pt’s symptoms, we want to ______________
expose and palpate
What is the purpose of the multifidi activation test?
assess anticipatory recruitment of multifidi musculature in the lower L-spine with UE movement
Multifidi activation test procedure
Patient is standing, and therapist palpates multifidi bilaterally. Patient raises up his/her right UE into shoulder flexion. Patient then raises his/her left UE into shoulder flexion.
Multifidi activation test interpretation
Just prior to patient elevating his/her UE, therapist should feel contraction of contralateral multifidus muscle. If multifidi are not firing before arm raise, there is a lack of anticipatory control/stabilization.
Purpose of pelvic landmark palpations
quickly assess bony pelvic landmarks to determine symmetry right to left and screen for any obvious asymmetries in height.
Pelvic landmark palpations procedure
Patient is standing, and therapist is positioned on a stool or knees. Therapist palpates the following landmarks: Iliac Crests, ASIS, PSIS.
Pelvic landmark palpations interpretation: If PSIS is TTP, it may indicate __________
SI joint dysfunction
Pelvic landmark palpations interpretation: If iliac crest, ASIS, and PSIS are all elevated on the same side, it may indicate _______________
an upslip of that innominate
Pelvic landmark palpations interpretation: If ASIS is inferior, and PSIS is superior on the same side, it may indicate an ________________
anterior torsion of the innominate
Pelvic landmark palpations interpretation: If ASIS is superior, and PSIS is inferior on the same side, it may indicate a _________________
posterior torsion of the innominate
What is the purpose of the standing march test?
assess for Trendelenburg sign and assess SLS balance
Standing march test procedure
Patient is standing, and therapist is positioned on a stool or standing behind patient. Therapist palpates bilateral PSIS. Patient performs right hip flexion AROM to approximately 90 degrees. Patient then performs left hip flexion AROM to 90 degrees.
Standing march test interpretation: If see pelvic drop on stance limb = ________________
Gluteus Medius weakness on stance limb (Trendelenburg sign)
Standing march test interpretation: If see decreased balance on stance limb, it may indicate ____________________ or __________________
possible SI Joint dysfunction on stance side or poor motor control through ankle and LE on the stance side.
What is the purpose of assessing lumbar AROM?
assess pt’s willingness to move, identify movement limitations, objectify movement limitations, and identify painful movements
Lumbar Flexion AROM normal range
70-90 degrees
Lumbar Extension AROM normal range
20-30 degrees
Lumbar SB AROM normal range
30-35 degrees
